"Revenue Specialist"

Position Summary

At Stony Brook Medicine, a Revenue Specialist will provide operational support within the hospital's Patient Accounting Department. The position will support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service.

Duties of a Revenue Specialist may include the following, but are not limited to:

• Prepare and submit hospital claims. Review denials. Investigate coding issue. Audits.
• Follow-up on rejected or denied claims, improper payments and coding issues.
• Process appeals.
• Liaise with third party billing and collection agencies.
• Identify issues and patterns with claims/insurance companies and review to increase revenue and prevent unnecessary denials.
• Assist the supervisor in scheduling, timesheet, leave requests, performance programs and evaluations.
• Assist the supervisor in training and make recommendation to improve policy and procedures for the unit as well as the office.
• Investigate and accurately update COB, including refund request letters, reports, mail, etc.
• Other duties as assigned.

Qualifications:

Required:

• Bachelor's degree in Accounting, Business, Health Information Management or related field with a minimum of 6 months business experience, preferably in a healthcare setting;
  or an Associate's degree and at least 6 months of business experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience;
  or in lieu of a degree, at least 2 years of business experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience.
• Excellent written and oral communication skills.
• Proficiency with Microsoft Office.

Preferred:

• Experience investigating, reviewing, and following up on rejected, denied insurance claims and/or experience using claims scrubber systems.
• Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies.
• Knowledge of third party payer reimbursement and managed care contracts.
• Experience investigating, reviewing and following-up on rejected/denied inpatient and outpatient hospital claims.
• Knowledge of CPT, HCPCs and ICD-10 coding principles.
• Experience with Cerner Invision and/or Cerner Millennium Patient Accounting.
• Experience in Insurance Verification.
• Experience working in Medicare FSS DDE system.

Please Note: Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration.

Special Notes: Resume/CV should be included with the online application.

Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).

If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

Anticipated Pay Range:

The salary range (or hiring range) for this position is $49,683 - $60,563 / year.

The above salary range represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidate's validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.

Some positions offer annual supplemental pay such as:

• Location pay for UUP full-time positions ($4,000).

Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and a state pension that add to your bottom line.